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510(k) Data Aggregation

    K Number
    K113472
    Manufacturer
    Date Cleared
    2012-08-30

    (282 days)

    Product Code
    Regulation Number
    878.4810
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K062258,K062619

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Precise SHP Diode Laser is indicated for the removal of lesions, excision, incision, vaporization, ablation, hemostasis, and photocoagulation on oral soft tissue for the specific dental and oral surgery procedures of gingivectomy, freeectomy, operculectomy, contouring, biopsy, troughing, ulcer care, abscess care, sulcular debridement, soft tissue curettage, and removal of inflamed edematous tissue.

    Device Description

    The Precise SHP Diode Laser is a device for delivering laser energy to human soft tissue for a variety of surgical procedures and treatments. This energy is generated by solid-state diodes, which provide a consistent and reliable generation of laser energy at 810 ± 20nm for a maximum of 3 watts of energy output. The laser energy is delivered to surgical site by means of an optical fiber system, which allows for the safe transmission of laser energy to the site without creating undue risk to the patient or operatory staff by errant or collateral laser emissions. The device features some user definable settings, including a switchable 630nm aiming beam, adjustable power output for both the working beam and aiming beam, and continuous delivery or pulse delivery options. The working end of the delivery fiber is contained within a metal handpiece with a disposable single-use tip. This handpiece system is provided with the device. The activation of the working beam diodes is completed by use of a foot-actuated switch.

    AI/ML Overview

    The provided 510(k) summary for the "Precise SHP Diode Laser" does not contain information about acceptance criteria and a study proving those criteria are met in the way a diagnostic device approval would. This device is a surgical instrument (a diode laser), not a diagnostic algorithm. For such devices, the assessment criteria focus on manufacturing, safety, and performance specifications rather than diagnostic accuracy metrics.

    Therefore, many of the requested points cannot be answered from the provided text, as they are not applicable to the type of device and regulatory submission presented.

    Here's an analysis based on the information provided, and where information is missing for a diagnostic device context:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission does not present acceptance criteria in a quantitative table format with corresponding performance results similar to a diagnostic device. Instead, it refers to compliance with regulatory standards and general functional performance.

    Criterion Type (as inferred for a surgical laser)Reported Performance (or compliance statement)
    Output Wavelength810 ± 20nm
    Maximum Energy Output3 watts
    Aiming Beam Wavelength630nm (switchable)
    Delivery MethodOptical fiber system with disposable single-use tip
    Operating ControlsAdjustable power, continuous/pulse options, foot-actuated switch
    Safety FeaturesAll safety features and functions operating correctly
    Regulatory ComplianceComplies with 21 CFR 1040.10, 1040.11, Laser Notice 50, IEC 60601-2-22, IEC 60825-1, IEC 60601-1 (3rd Ed), IEC 60601-1-2, IEC 60601-1-4, IEC 60601-1-6
    Essential PerformanceMet design criteria for essential performance
    CFR 21 1010 & 1040 CompliancePerformance requirements satisfied, device outputs within requirements

    2. Sample Size for Test Set and Data Provenance

    Not applicable in the context of a diagnostic test on patient data. The "test set" here refers to the device itself.

    • Sample size: "Bench testing on an evaluation sample of the current device" - implies at least one device was tested.
    • Data provenance: N/A (bench testing of the physical device).

    3. Number of Experts and Qualifications for Ground Truth

    Not applicable. Ground truth for a diagnostic device would involve independent clinical review or pathological confirmation. For a surgical laser, experts might design the testing protocols, but they aren't establishing a "ground truth" diagnosis.

    4. Adjudication Method

    Not applicable for a device performance test of a surgical laser.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    Not applicable. This is not a diagnostic imaging device where human readers interact with AI.

    6. Standalone Performance Study

    Yes, in a sense. The "bench testing" described is a standalone evaluation of the device's physical and functional performance without human interaction beyond operating the device.

    7. Type of Ground Truth Used

    The "ground truth" for this device's performance is adherence to:

    • Engineering design specifications.
    • Performance requirements outlined in 21 CFR 1010 and 21 CFR 1040.
    • Relevant international safety and performance standards (e.g., IEC 60601 series, IEC 60825-1).

    8. Sample Size for Training Set

    Not applicable. This device is not an AI/ML algorithm that requires a training set.

    9. How Ground Truth for Training Set was Established

    Not applicable. This device is not an AI/ML algorithm.

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